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Endocrinology, Diabetes and Metabolism is a branch of medicine which deals with the study of hormones. Hormones are secretions from glands which act at various target sites in the body. These secretions are from ductless glands, i.e., they are poured directly into the blood, hence the name, ‘endocrine glands.’ Diabetes is one of the major branches of endocrinology.

The Endocrinology, Diabetes and Metabolism Unit at Jaslok Hospital has been functional since its inception 42 years ago. We were the first hospital in the country to set up radioimmunoassay (RIA) on a regular basis. RIA could estimate minute amount of hormones in the body. Needless to say, this technique revolutionised the field of endocrinology everywhere in the world. Since then, this department has grown from strength to strength. We have a committed group of endocrinologists, diabetologists and endocrine surgeons who are equipped to handle any endocrine problem that may arise. We also have departments of radiology and nuclear medicine which help us detect rare endocrine problems through diagnostic imaging.

Endocrine problems are broadly classified into two types -

o Problems due to decreased function of the gland - called Hypofunctiono Problems due to increased function of the gland - called Hyperfunction

Of course, this is a simplistic representation of the field, but it is a useful one. The various categories of disorders are as follows:

Pancreatic Disorders

We offer outdoor and indoor services. A diabetes-teaching nurse educates each patient individually regarding self-care skills. Services of nutritionists are also available. Our department, in collaboration with the biochemistry colleagues, pioneered the use of glycated haemoglobin for monitoring control in diabetes. Services of leading cardiologists, interventional radiologists, ophthalmologist, neurologists and nephrologists are available to manage multiple complications of diabetes.

Childhood diabetes and gestational diabetes are treated in collaboration with paediatricians and gynaecologists.

This is done on an outpatient basis, in collaboration with our nutritionists and physiotherapists. We also have services of bariatric surgeons and plastic surgeons available.

Growth Disorders

Growth disorders in children are diagnosed and treated by our team of endocrinologists and paediatricians.

Gonadal and Menstrual Disorders

These are disorders that affect the reproductive system. These include menstrual irregularities, infertility, hypogonadism (decreased function of the male and female reproductive organs), hirsutism (which is associated with polycystic ovarian syndrome) and similar other disorders.

Treatment for infertility is done in coordination with the gynaecologist and endocrinologist.

Lipid Disorders

Our country is experiencing a boom in diabetes and heart disease. The link between the two could be the abnormal cholesterol profiles that are seen in diabetes and are responsible for blockages in blood vessels that supply blood to the heart.

Pituitary Disorders

The pituitary gland is a master gland present in the brain. Like the conductor of an orchestra, it controls the activities of various endocrine glands, some of which have been mentioned above. Again, a disease could result from either reduced function or excessive function of the gland.

Metabolic Bone Disorders

As we advance in age, we are likely to face metabolic bone disorders, foremost among which include osteoporosis. Our department has facilities to evaluate bone mineral density and undertake full treatment of osteoporosis. Also, various calcium disorders (reduced or increased levels) can result from deficiencies or excessive function of calcium regulatory hormones.

Dr. R B Phatak has treated several patients suffering from diabetes related diseases in India and believes in holistic medical care. Dr. R B Phatak has published several papers in India and abroad and is a member of prestigious medical associations.

Dr. Sahil Fulara has completed his medical degree at the Dr. D.Y. Patil University School of Medicine in Mumbai, India and has work experience at Grant Medical College - Sir J.J. Group of Hospitals, Mumbai. He is an enthusiastic and highly motivated Physician who has been successfully treating his patients with utmost care and high level professionalism.Dr. Sahil Fulara has served as Fellow Observer at METHODIST HOSPITAL, HOUSTON, USA, and thereby, gained an in-depth experience in the field of Endocrinology. He has also done research on Hospital based descriptive study of spectrum of end stage renal disease in tertiary care hospital. His enthusiasm for science and desire to take the medical science to the next level has rewarded him with a very promising and fulfilling career.Dr. Sahil Fulara takes pride in his ability to coordinate and deliver personalized high quality care to each unique patient. His goal is to establish a long-term relationship with his patients and provide them with personal advises on staying healthy, preventing illness and managing their medical needs.Dr. Fulara is also attached to foreign consulates viz. Saudi Arabia, UAE, Oman, Kuwait, Qatar, Bahrain, Costa Rica and Dominican Republic in Mumbai. Dr. Fulara is attached to various social, charitable and medical organizations. Dr Fulara is associated with Jaslok Hospital in the department of Endocrionology, Diabetes and Metabolism.

Awards/Fellowship:

Fellowship Endocrinology - USA

Awards :
- Participant/Delegate/faculty in the "Symposium on Pneumonia and its prevention in adults". Dr. D.Y. Patil University, Department of Pulmonary Medicine. (MMC/MAC/2014/C-000516)
- Participant/Delegate/faculty in the CME organized by Mumbai Hematology Group and Mumbai Oncology Association.
- Participant/Delegate in Diabetes CME and workshop Held at Dr. D.Y. Patil Hospital and Research Center.
- Participant/Delegate in "CURRENT TRENDS IN THYROID AND PAROTID SURGERY" held at Dr. D.Y. Patil Hospital and Research Center.
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Participant/Delegate in Diabetes Management: The Role of Sitagliptin at Symposium on the Occasion of the 49 th Annual meeting of the EASD (European Association for the study of Diabetes) in Barcelona, Spain.
- Participant/Delegate in Risk Management and optimal Lipid treatment options in patients with metabolic Disease at Symposium on the Occasion of the 49th Annual meeting of the European Association for the study of Diabetes in Barcelona, Spain.
- Participant, in Advances in Diabetes at 7 th International Symposia on Diabetes 2012 conducted by the prestigious international faculty from Joslin Diabetes Center (Boston, USA).
- Participant/Delegate in AACE (American Association of Clinical Endocrinologists) at Orlando, USA.
- Participant/Delegate in ADA (American Diabetes Association) at New Orleans, USA.

Professional Affiliations :
- Indian Medical Associations (IMA).
- The Association of physician of India (API).
- Research Society for the study of Diabetes in India (RSSDI).
- American Association of Clinical Endocrinologist (AACE).
- American Diabetes Association (ADA).

"Dr. Shaival Chandalia is a consultant endocrinologist and diabetologist at Jaslok hospital.He completed his undergraduate training at T.N. medical college and Nair hospital, Mumbai. He further completed his postgraduate training ( equivalent to MD, General Medicine) at St. Louis University hospital, St. Louis ,USA and was awarded Diplomate, American Board of Internal Medicine in 2005. His fellowship training in Endocrinology and Diabetology was at UT Southwestern Medical Centre , Dallas, USA in 2007.

He has been practising as an Endocrinologist and Diabetologist at Jaslok hospital and his private clinic for the past 10 years. His fields of interest include diabetes, thyroid, pituitary, adrenal and calcium disorders. He has been a speaker at various academic conferences and has numerous publications to his credit. He has helped author educational material for diabetic patients. This includes a book for patients called ' Conquest of Diabetes by Diet and Exercise', which emphasises lifestyle intervention in the prevention and treatment of diabetes. He has also edited a lay magazine for patients, called 'Diabetes Today' for the past 8 years. Finally, he has contributed chapters to the prestigious RSSDI textbook of Diabetes which provides an Indian perspective to the field of diabetes and is meant for diabetologists. "